APEA 3P Exam Test Bank Overview
2024/25 updated 43 pages questions and
correct answers
Visual acuity test - CORRECT ANSWER ✅✅✅A test using the Snellen eye chart
to measure the clarity of vision.
Munchausen Syndrome By Proxy - CORRECT ANSWER ✅✅✅A caregiver
making up or causing an illness or injury in a person under his or her care.
Symptoms of depression - CORRECT ANSWER ✅✅✅Side effects of
medications that affect neurotransmitters such as dopamine, serotonin, and
norepinephrine.
Dark raised lesion with irregular border - CORRECT ANSWER ✅✅✅Melanoma,
a type of skin cancer.
Periorbital edema - CORRECT ANSWER ✅✅✅Dull puffiness of the eyes,
pronounced and non-pitting, suggestive of conditions like Myxedema.
Myxedema - CORRECT ANSWER ✅✅✅A deposition of mucopolysaccharides in
the dermis, commonly found in patients with advanced hypothyroidism.
Amitriptyline (Elavil) - CORRECT ANSWER ✅✅✅A tricyclic antidepressant
considered off-label for prophylactic treatment of migraines.
Tinea capitis - CORRECT ANSWER ✅✅✅A fungal infection of the scalp
characterized by areas of scaling and round patches of alopecia.
Combined hormonal contraceptive contraindications - CORRECT ANSWER
✅✅✅Contraindicated in women older than 45, breastfeeding, smoking, HTN,
diabetes, or hx of stroke.
Bloody spontaneous discharge from the nipple - CORRECT ANSWER
✅✅✅Indicates the need for further evaluation, potentially for conditions like
intraductal papilloma.
Intraductal papilloma - CORRECT ANSWER ✅✅✅Usually solitary, smaller than
1 cm, located in large lactiferous sinuses or ducts, and has a tendency to bleed.
Prophylactic medication for migraines - CORRECT ANSWER ✅✅✅Amitriptyline
(Elavil) is considered for prophylactic treatment.
,Cushing syndrome - CORRECT ANSWER ✅✅✅A condition characterized by
excessive cortisol production, which can lead to various symptoms.
Nephrotic syndrome - CORRECT ANSWER ✅✅✅A kidney disorder that causes
the body to excrete too much protein in the urine.
Keratoacanthoma - CORRECT ANSWER ✅✅✅A type of skin tumor that appears
as a dome-shaped nodule, often mistaken for squamous cell carcinoma.
Actinic keratosis - CORRECT ANSWER ✅✅✅A rough, scaly patch on sun-
exposed skin that can develop into skin cancer.
Alopecia areata - CORRECT ANSWER ✅✅✅An autoimmune condition that
causes hair loss in patches.
Migraine prophylactic treatment - CORRECT ANSWER ✅✅✅Verapamil (verelan)
and Metoprolol (Lopressor) are also options for migraine prophylaxis.
Sedentary lifestyle effects - CORRECT ANSWER ✅✅✅Can contribute to health
risks, including the contraindication for combined hormonal contraceptives.
Bloody nipple discharge evaluation - CORRECT ANSWER ✅✅✅Further
evaluation is necessary to rule out serious conditions like breast cancer.
Green or dark brown nonbloody nipple discharge - CORRECT ANSWER
✅✅✅Generalized breast pain or tenderness, often benign.
Fibroadenoma - CORRECT ANSWER ✅✅✅A benign breast tumor that is usually
painless and mobile.
Polycystic breast disease - CORRECT ANSWER ✅✅✅A condition characterized
by multiple cysts in the breast tissue.
Rho (D) immunoglobulin - CORRECT ANSWER ✅✅✅Should be administered to
Rh negative women at 28 weeks' gestation.
Mean corpuscular volume (MCV) - CORRECT ANSWER ✅✅✅A measurement
of the average size of the RBCs.
Serotonin Norepinephrine Reuptake inhibitor - CORRECT ANSWER ✅✅✅Has
the most serious side effect; patients should have a drug-free period for 3-4 weeks
after every 6 months of treatment.
Prostaglandin E1 (PG1) - CORRECT ANSWER ✅✅✅Maintains patency of the
great arteries in patients with transposition of the great arteries.
,Peripheral artery disease - CORRECT ANSWER ✅✅✅Characterized by painful
cramping in the hips, thighs, or calf muscles after activities like walking or climbing
stairs.
Hyperprolactinemia - CORRECT ANSWER ✅✅✅Causes symptoms such as
infertility and oligomenorrhea in premenopausal women, but not in postmenopausal
women.
Short-Acting Beta Agonist (SABA) - CORRECT ANSWER ✅✅✅Used for acute
asthma attacks to quickly reduce airway constriction and restore normal airflow.
Shingles (herpes zoster) vaccine - CORRECT ANSWER ✅✅✅Reduces the risk
for infection with the virus that causes painful localized blistering rash.
Headache warning signs - CORRECT ANSWER ✅✅✅Include new onset after
age 50, aggravated or relieved by change of position, and precipitated by Valsalva
maneuver.
Claudication - CORRECT ANSWER ✅✅✅Painful cramping in the legs due to
peripheral artery disease.
Albuterol - CORRECT ANSWER ✅✅✅A common SABA used for acute asthma
attacks.
Gynecomastia - CORRECT ANSWER ✅✅✅Not a typical finding of
hyperprolactinemia in premenopausal women.
Coldness in lower leg - CORRECT ANSWER ✅✅✅A symptom of peripheral
artery disease, especially when compared with the other side.
Oligomenorrhea - CORRECT ANSWER ✅✅✅A symptom of hyperprolactinemia
in premenopausal women.
Painful cramping - CORRECT ANSWER ✅✅✅A symptom of peripheral artery
disease after certain activities.
Valsalva maneuver - CORRECT ANSWER ✅✅✅Can precipitate headache
warning signs that need prompt investigation.
Hirsutism - CORRECT ANSWER ✅✅✅A typical finding of hyperprolactinemia in
premenopausal women.
Nimodipine - CORRECT ANSWER ✅✅✅A medication that should be avoided
when prescribing prophylactic therapy for headaches.
Venlafaxine (Effexor) - CORRECT ANSWER ✅✅✅A serotonin norepinephrine
reuptake inhibitor with serious side effects.
, Acne - CORRECT ANSWER ✅✅✅A typical finding of hyperprolactinemia in
premenopausal women.
Inhaled corticosteroid - CORRECT ANSWER ✅✅✅Not the first choice for
relieving acute wheezing in asthma patients.
Long acting bronchodilator - CORRECT ANSWER ✅✅✅Not typically used for
immediate relief of acute asthma symptoms.
Combination of methylxanthine and long acting bronchodilator - CORRECT
ANSWER ✅✅✅Not the first choice for relieving acute wheezing in asthma
patients.
Iron deficiency anemia supplement advice - CORRECT ANSWER ✅✅✅The
client should be advised to take the iron supplement on an empty stomach between
meals.
Iron supplement duration - CORRECT ANSWER ✅✅✅The iron supplement
should be taken for 30 days to 5 weeks.
Best absorption of iron - CORRECT ANSWER ✅✅✅Iron is best absorbed on an
empty stomach, patients should be advised to take the supplement an hour before
meals.
Munchausen syndrome by proxy - CORRECT ANSWER ✅✅✅Munchausen
syndrome by proxy (MSP) is a mental illness and a form of child abuse affecting
caregivers, especially of children.
Common sign of substance abuse in adolescents - CORRECT ANSWER
✅✅✅The most common presenting sign of substance abuse in adolescents is
poor school performance.
TPAL system - CORRECT ANSWER ✅✅✅In the TPAL system, Gravida 4 para
1114 indicates a woman who has been pregnant 4 times and has 1 term baby, 1
preterm baby, 1 abortion, and 4 living children.
Enlarged right epitrochlear lymph node assessment - CORRECT ANSWER
✅✅✅The nurse practitioner should assess the patient's throat, face, and right
ear.
Indications for anticholinergics - CORRECT ANSWER ✅✅✅Anticholinergics are
indicated for the treatment of urge incontinence and overflow incontinence.
Action of anticholinergics - CORRECT ANSWER ✅✅✅Anticholinergics are drugs
that block the action of acetylcholine and can treat conditions such as urinary
incontinence and overactive bladder.
2024/25 updated 43 pages questions and
correct answers
Visual acuity test - CORRECT ANSWER ✅✅✅A test using the Snellen eye chart
to measure the clarity of vision.
Munchausen Syndrome By Proxy - CORRECT ANSWER ✅✅✅A caregiver
making up or causing an illness or injury in a person under his or her care.
Symptoms of depression - CORRECT ANSWER ✅✅✅Side effects of
medications that affect neurotransmitters such as dopamine, serotonin, and
norepinephrine.
Dark raised lesion with irregular border - CORRECT ANSWER ✅✅✅Melanoma,
a type of skin cancer.
Periorbital edema - CORRECT ANSWER ✅✅✅Dull puffiness of the eyes,
pronounced and non-pitting, suggestive of conditions like Myxedema.
Myxedema - CORRECT ANSWER ✅✅✅A deposition of mucopolysaccharides in
the dermis, commonly found in patients with advanced hypothyroidism.
Amitriptyline (Elavil) - CORRECT ANSWER ✅✅✅A tricyclic antidepressant
considered off-label for prophylactic treatment of migraines.
Tinea capitis - CORRECT ANSWER ✅✅✅A fungal infection of the scalp
characterized by areas of scaling and round patches of alopecia.
Combined hormonal contraceptive contraindications - CORRECT ANSWER
✅✅✅Contraindicated in women older than 45, breastfeeding, smoking, HTN,
diabetes, or hx of stroke.
Bloody spontaneous discharge from the nipple - CORRECT ANSWER
✅✅✅Indicates the need for further evaluation, potentially for conditions like
intraductal papilloma.
Intraductal papilloma - CORRECT ANSWER ✅✅✅Usually solitary, smaller than
1 cm, located in large lactiferous sinuses or ducts, and has a tendency to bleed.
Prophylactic medication for migraines - CORRECT ANSWER ✅✅✅Amitriptyline
(Elavil) is considered for prophylactic treatment.
,Cushing syndrome - CORRECT ANSWER ✅✅✅A condition characterized by
excessive cortisol production, which can lead to various symptoms.
Nephrotic syndrome - CORRECT ANSWER ✅✅✅A kidney disorder that causes
the body to excrete too much protein in the urine.
Keratoacanthoma - CORRECT ANSWER ✅✅✅A type of skin tumor that appears
as a dome-shaped nodule, often mistaken for squamous cell carcinoma.
Actinic keratosis - CORRECT ANSWER ✅✅✅A rough, scaly patch on sun-
exposed skin that can develop into skin cancer.
Alopecia areata - CORRECT ANSWER ✅✅✅An autoimmune condition that
causes hair loss in patches.
Migraine prophylactic treatment - CORRECT ANSWER ✅✅✅Verapamil (verelan)
and Metoprolol (Lopressor) are also options for migraine prophylaxis.
Sedentary lifestyle effects - CORRECT ANSWER ✅✅✅Can contribute to health
risks, including the contraindication for combined hormonal contraceptives.
Bloody nipple discharge evaluation - CORRECT ANSWER ✅✅✅Further
evaluation is necessary to rule out serious conditions like breast cancer.
Green or dark brown nonbloody nipple discharge - CORRECT ANSWER
✅✅✅Generalized breast pain or tenderness, often benign.
Fibroadenoma - CORRECT ANSWER ✅✅✅A benign breast tumor that is usually
painless and mobile.
Polycystic breast disease - CORRECT ANSWER ✅✅✅A condition characterized
by multiple cysts in the breast tissue.
Rho (D) immunoglobulin - CORRECT ANSWER ✅✅✅Should be administered to
Rh negative women at 28 weeks' gestation.
Mean corpuscular volume (MCV) - CORRECT ANSWER ✅✅✅A measurement
of the average size of the RBCs.
Serotonin Norepinephrine Reuptake inhibitor - CORRECT ANSWER ✅✅✅Has
the most serious side effect; patients should have a drug-free period for 3-4 weeks
after every 6 months of treatment.
Prostaglandin E1 (PG1) - CORRECT ANSWER ✅✅✅Maintains patency of the
great arteries in patients with transposition of the great arteries.
,Peripheral artery disease - CORRECT ANSWER ✅✅✅Characterized by painful
cramping in the hips, thighs, or calf muscles after activities like walking or climbing
stairs.
Hyperprolactinemia - CORRECT ANSWER ✅✅✅Causes symptoms such as
infertility and oligomenorrhea in premenopausal women, but not in postmenopausal
women.
Short-Acting Beta Agonist (SABA) - CORRECT ANSWER ✅✅✅Used for acute
asthma attacks to quickly reduce airway constriction and restore normal airflow.
Shingles (herpes zoster) vaccine - CORRECT ANSWER ✅✅✅Reduces the risk
for infection with the virus that causes painful localized blistering rash.
Headache warning signs - CORRECT ANSWER ✅✅✅Include new onset after
age 50, aggravated or relieved by change of position, and precipitated by Valsalva
maneuver.
Claudication - CORRECT ANSWER ✅✅✅Painful cramping in the legs due to
peripheral artery disease.
Albuterol - CORRECT ANSWER ✅✅✅A common SABA used for acute asthma
attacks.
Gynecomastia - CORRECT ANSWER ✅✅✅Not a typical finding of
hyperprolactinemia in premenopausal women.
Coldness in lower leg - CORRECT ANSWER ✅✅✅A symptom of peripheral
artery disease, especially when compared with the other side.
Oligomenorrhea - CORRECT ANSWER ✅✅✅A symptom of hyperprolactinemia
in premenopausal women.
Painful cramping - CORRECT ANSWER ✅✅✅A symptom of peripheral artery
disease after certain activities.
Valsalva maneuver - CORRECT ANSWER ✅✅✅Can precipitate headache
warning signs that need prompt investigation.
Hirsutism - CORRECT ANSWER ✅✅✅A typical finding of hyperprolactinemia in
premenopausal women.
Nimodipine - CORRECT ANSWER ✅✅✅A medication that should be avoided
when prescribing prophylactic therapy for headaches.
Venlafaxine (Effexor) - CORRECT ANSWER ✅✅✅A serotonin norepinephrine
reuptake inhibitor with serious side effects.
, Acne - CORRECT ANSWER ✅✅✅A typical finding of hyperprolactinemia in
premenopausal women.
Inhaled corticosteroid - CORRECT ANSWER ✅✅✅Not the first choice for
relieving acute wheezing in asthma patients.
Long acting bronchodilator - CORRECT ANSWER ✅✅✅Not typically used for
immediate relief of acute asthma symptoms.
Combination of methylxanthine and long acting bronchodilator - CORRECT
ANSWER ✅✅✅Not the first choice for relieving acute wheezing in asthma
patients.
Iron deficiency anemia supplement advice - CORRECT ANSWER ✅✅✅The
client should be advised to take the iron supplement on an empty stomach between
meals.
Iron supplement duration - CORRECT ANSWER ✅✅✅The iron supplement
should be taken for 30 days to 5 weeks.
Best absorption of iron - CORRECT ANSWER ✅✅✅Iron is best absorbed on an
empty stomach, patients should be advised to take the supplement an hour before
meals.
Munchausen syndrome by proxy - CORRECT ANSWER ✅✅✅Munchausen
syndrome by proxy (MSP) is a mental illness and a form of child abuse affecting
caregivers, especially of children.
Common sign of substance abuse in adolescents - CORRECT ANSWER
✅✅✅The most common presenting sign of substance abuse in adolescents is
poor school performance.
TPAL system - CORRECT ANSWER ✅✅✅In the TPAL system, Gravida 4 para
1114 indicates a woman who has been pregnant 4 times and has 1 term baby, 1
preterm baby, 1 abortion, and 4 living children.
Enlarged right epitrochlear lymph node assessment - CORRECT ANSWER
✅✅✅The nurse practitioner should assess the patient's throat, face, and right
ear.
Indications for anticholinergics - CORRECT ANSWER ✅✅✅Anticholinergics are
indicated for the treatment of urge incontinence and overflow incontinence.
Action of anticholinergics - CORRECT ANSWER ✅✅✅Anticholinergics are drugs
that block the action of acetylcholine and can treat conditions such as urinary
incontinence and overactive bladder.
